Provider Demographics
NPI:1831191568
Name:BERNSTEIN, RACHEL COREY (MD)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:COREY
Last Name:BERNSTEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6333 N FEDERAL HWY STE 285
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-1922
Mailing Address - Country:US
Mailing Address - Phone:954-770-2141
Mailing Address - Fax:
Practice Address - Street 1:6333 N FEDERAL HWY STE 285
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-1922
Practice Address - Country:US
Practice Address - Phone:954-770-2141
Practice Address - Fax:754-206-4774
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME97326207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO65574061Medicaid
462368Medicare ID - Type Unspecified
CO65574061Medicaid